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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED - <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME /YlA-fD7/L C5AICS <br />JOB ADDRESS ~ C(5 /~ .flUl tI~/4 <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID #ag--f7-~----.1.I-OOOo"'~/Oo -0090 <br />WORK PROPSED: ~CONSTRUCTION o ADDITION <br /> <br />R)u <br />))~cd <br /> <br />PHONE <br /> <br />tq6~cr+;? <br /> <br />DA- <br />. <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPRdvAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/;< X~:)O <br /> <br />- <br /> <br />/J-w LJr'_4 ~-(~ <br /> <br />FOOTAGE t.,~ HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br /> PERMITS REQUESTED <br />D BUILDING $ Jtoo - ()O VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R. E <br />D PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD Y <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER ~'~~W*HHHHWHH'::~::;:~'-;bH~ ~C' . <br /> <br />SIGNATUR~~ STATE CERT OR REGIST #7-f./,-/!.S <br />